You should talk to your doctor about medications you take regularly and any allergies you have to medications or to intravenous contrast material dye. Also, be sure to tell your doctor if you have heart or lung conditions or other major diseases which might prevent or impact the decision to conduct endoscopy.
Your doctor might even ask an anesthesiologist to administer sedation if your procedure is complex or lengthy. Some patients also receive antibiotics before the procedure. You will lie on your abdomen on an X-ray table. The instrument does not interfere with breathing, but you might feel a bloating sensation because of the air introduced through the instrument. ERCP is a well-tolerated procedure when performed by doctors who are specially trained and experienced in the technique. Although complications requiring hospitalization can occur, they are uncommon.
After the child is sent home, they will return for a follow-up appointment. In some cases, another ERCP procedure is needed to achieve the desired outcome. All rights reserved. Health Library. ERCP can be done on children of any age, including newborns and infants, and is typically offered for patients with: Acute recurrent pancreatitis Chronic pancreatitis Injuries to the duct Gallstone disease causing pancreatitis Inflammatory disorders affecting the pancreas Stones blocking the pancreatic duct Narrowing strictures within the duct Abnormal anatomy of the pancreas or duct What Is Involved in ERCP?
What Is the Recovery Period Like? You may also need someone to stay with you overnight. Ask your doctor or nurse how much help you might need. Occasionally, these problems can be addressed by radiology procedures or more advanced surgical procedures using cameras and tools by open or laparoscopic surgery, but ERCP is more commonly used because it is less invasive than surgery and it has a high rate of success.
A nurse may spray your throat with a local anesthetic before the test begins. This will numb your throat to keep you from gagging choking and make you more comfortable. You will receive sedative medicine through an IV. If you need general anesthesia for an ERCP, you will be completely asleep for the procedure.
You will be lying on a table for the procedure which allows x-rays to be taken. Your doctor puts the endoscope into your mouth. Then they pass it down your throat esophagus to the stomach and the first part of your small intestine, the duodenum.
The endoscope does not affect your breathing, and you might even fall asleep during the procedure. If you do feel discomfort, it will probably be minor. For example, you might feel slightly bloated from the air your doctor uses to inflate the duodenum. You might also feel minor discomfort when your doctor injects dye for the x-rays.
ERCP usually lasts thirty minutes to an hour. Your procedure might take more or less time depending on what your doctor needs to learn and do. You can talk with your doctor ahead of time about how long it might take.
This organ secretes digestive enzymes that flow into the intestine through the same opening as the bile. Both bile and enzymes are needed to digest food. The flexible endoscope is a remarkable piece of equipment that can be directed and moved around the many bends in the upper gastrointestinal tract. A thin, glass fiber-optic bundle collects light at one tip of the scope and, regardless of how it is angled, transmits the image to the other viewing end.
An open channel in the scope allows other instruments to be passed through it to perform biopsies, remove polyps or inject solutions.
Due to factors related to diet, environment and heredity, the bile ducts, gallbladder and pancreas are the seat of numerous disorders. The only preparation needed before an ERCP is not to eat or drink for eight hours prior to the procedure. An ERCP uses x-ray films and is performed in an x-ray room. The patient is sedated. The endoscope is then gently inserted into the upper esophagus. The patient breathes easily throughout the exam, with gagging rarely occurring.
A thin tube is inserted through the endoscope to the main bile duct entering the duodenum. The patient lies on his or her left side and then turns onto the stomach to allow complete visualization of the ducts. If a gallstone is found, steps may be taken to remove it. If the duct has become narrowed, an incision can be made using electrocautery electrical heat to relieve the blockage. Additionally, it is possible to wide narrowed ducts and to place small tubing in these ducts to keep them open.
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